Neurotic reactions in the aged are genetically related to the conflicts and experiences of earlier life, to which are added the problems of depreciated status in the community, and perceptible evidences of organic decline. Earlier methods of handling life situations are no longer available in old age, and regression occurs, with anxieties frequently showing themselves in somatic concerns. Previously adequate integration can no longer meet the individual's needs. Given proper limitation of goals, treatment can be highly successful; structural character change, however, and modification of various problems of personality are frequently outside the scope of such therapy. The therapist needs to be more active than in conventional analysis, more informal, more supportive.